Alternative treatments Cervical Spine Surgery: Goals and Techniques If cervical degeneration causes myelopathy spinal cord dysfunctionradiculopathy dysfunction of nerves to the neck or armsneck pain, or abnormal neck motion, surgery may be necessary.
The spine begins with C1 vertebra which is also called Atlas. It must be noted that normal cervical spine x-rays do not exclude significant injury. The lateral view is often the most informative image. In a lateral view first thing to look for is if the cervical spine is adequately covered in the view.
Next, alignment of the vertebrae is looked for. Normal cervical spine x-ray would reveal a smooth lordotic curve and any loss of lordosis indicates spasm. Vertebrae are studied for smooth cortical outline and height. Disc spaces are looked for any reduction of space.
Prevertebral shadow is studied Cervical spondylothesis any increase in width. A normal cervical spine x-ray — Lateral View Coverage All vertebrae are visible should be visible from skull base to the top of T1 is considered adequate.
Vertebrae Cortical outline of all the bones should be checked for fractures. Disc spaces The vertebral bodies are spaced apart by the intervertebral discs — not directly visible with X-rays.
These spaces should be approximately equal in height increase as we come lower down. Prevertebral soft tissue Some fractures cause widening of the prevertebral soft tissue due to the prevertebral hematoma. The width is measured between the anterior line and anterior margin of soft tissue visible on the x-ray.
The present x-ray shows vertebra from C1 to C7. The view in the present picture is lateral view.
As you can view it, normal cervical spine appears lordotic. That means the anterior part of the spine appears convex and posterior concave. Alignment The lateral edges of the cervical spine are aligned.
Bone Check for bony integrity to rule out fractures Spacing The spinous processes are in a straight line and spaced approximately evenly. AP View In diseases or spasm of the cervical spine, this lordosis of the normal cervical spine is lost. Most common of these causes a change in curvature is cervical spondylosis.
For examination of the cervical spine, both anteroposterior and lateral views are required. Though both the views are important, the lateral view is more informative.
Special view radiographs may be required in many cases for proper diagnosis of the disease. Cervical spine x-ray can be taken in standing position or lying down on the table. The first method is done routinely on ambulatory patients in the outpatient department.
Lying down method is done in cases of injury or patients who cannot stand.
Save Get more stuff on Musculoskeltal Health Subscribe to our Newsletter and get latest publications on Musculoskeletal Health your email inbox.
Thank you for subscribing. We respect your privacy and take protecting it seriously Spread the Knowledge.The USC Spine Center is a hospital-based spine center that is dedicated to the management of all types of neck spine fractures. Cervical spondylosis is also called cervical osteoarthritis.
It is a condition involving changes to the bones, discs, and joints of the neck. These changes are caused by the normal wear-and-tear. (Static MRI is defined by UCLA as being scanned in one position, sitting straight up.
It does not include being scanned in multiple positions, such as flexion (bending forward), extension (bending backward), lateral bending, or rotation.).
Cervical Radiculopathy refers to damage or irritation of nerve roots that exit the cervical spine. This is commonly referred to as a ‘pinched nerve’. The History of Spondylolisthesis.
Spondylolisthesis is a medical term that describes an abnormal anatomic alignment between two bones in the spine. This anatomic abnormality has been around since antiquity. It was first described in the modern medical literature . At Alliance Physical Therapy, we are specialized in Physical Therapy, Orthopedic Rehabilitation, Hand Therapy, Industrial Rehabilitation, Functional Capacity Evaluations and Work Hardening Programs.
We accept most of the insurances. Call US Now: and Get Immediate Appointments.